The review deals with the analysis of modern methods of treatment of chronic generalized parodontitis from the perspective of differentiated principle of treatment of this disease. Particular attention is paid to methods of medical treatment, their diversity on the efficiency and mechanisms of therapeutic effects to select appropriate treatment, taking into account all the individual characteristics of the patient, aetiology, pathogenesis and severity of chronic generalized parodontitis. It has been demonstrated that an important aspect to achieve high efficiency of treatment is a method of drug delivery. The most effective method is a transmembrane dialysis, which makes it possible simultane-ously to obtain the maximum concentration of the therapeutic substances in the inflammatory focus and to eliminate from the inflammatory focus the low-medium weight tissue decomposition products, products of metabolism, while maintaining factors of regeneration and protection against infection. It has been evinced the advantages of sanogenetic therapy using vitamin cocktail and some higher plants BAS containing terpenoids (bornylacetate and its semisynthetic stereoisomer – isobornyl acetate), as the least toxic, having analgesic and anti-bacterial properties comparable with antibiotics, and capable to stimulate repair processes. The good water solubility of these substances provides ample pos-sibility of using these drugs in the form of solutions for rinsing, transmembrane dialysis, as liquid at ultrasonic curettage.

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The effect of direct current (5-12 p.A) induced by a bimetallic pin inserted into the pulp canal on cellular and vascular reactions is studied in a model of chronic apical periodontitis. It is demonstrated that after 90 days the inflammatory reaction decreases, osteogenesis is activated, and macrophagal infiltrate is observed only at the root apex as a mature granuloma with the signs of reduction.

Кафедра терапевтической стоматологии (зав.-д.м.н., проф. В.Д. Молоков) стоматологического факультета ГБОУ ВПО «Иркутский государственный медицинский университет», Иркутск, Россия Практика врача-стоматолога подразумевает прием пациентов с патологией пародонта и слизистой оболочки рта. В современной литературе имеется множество данных о взаимосвязи общесоматических заболеваний со стоматологическими патологиями. Представленный клинический пример подтверждает, что язвенно-некротические поражения слизистой оболочки рта могут являться признаками острых лейкозов и требуют обязательной дифференциальной диагностики перед назначением любого вида медикаментозного лечения.

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